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腹腔镜胆囊切除术胆管损伤的原因与处理
引用本文:冯双成,高振华,杨新春,吴敬章.腹腔镜胆囊切除术胆管损伤的原因与处理[J].腹腔镜外科杂志,2003,8(4):237-238.
作者姓名:冯双成  高振华  杨新春  吴敬章
作者单位:白银市第一人民医院,甘肃,白银,730900
摘    要:目的 :探讨腹腔镜胆囊切除术 (LC)胆管损伤的原因及处理方法。方法 :回顾分析 10 80例LC的临床资料 ,总结LC术中发生胆管损伤的常见原因及处理方法。结果 :10 80例LC中发生胆管损伤 4例 ,占0 37% (4 /10 80 ) ,经中转开腹手术 ,均治愈出院。跟踪随访 3年 ,效果良好。结论 :胆管损伤是LC术中最严重且最常见的并发症 ,经过及时有效的处理 ,可避免严重后果。

关 键 词:胆囊切除术  腹腔镜  并发症  胆管损伤
文章编号:1009-6612(2003)04-0237-02
修稿时间:2003年8月22日

The cause and treatment for bile duct injury of laparoscopic cholecystectomy
FENG Shuang-cheng,GAO Zhen-hua,YANG Xin-chun,et al.The cause and treatment for bile duct injury of laparoscopic cholecystectomy[J].Journal of Laparoscopic Surgery,2003,8(4):237-238.
Authors:FENG Shuang-cheng  GAO Zhen-hua  YANG Xin-chun  
Abstract:Objective:To explore the cause and treatment for bile duct injury of laparoscopic cholecystectomy.Methods:The clinical data of 1?080 LC was analysed retrospectively.The common cause and treatment for the bile duct injury of LC were summarized.Results:In 1?080 LC cases of this group,4 bile duct injuries occurred.It is 0.37 percent(4/1?080).The 4 cases were all converted to open-cholecystectomy and recovered smoothly without severe complication.Fellowed up 3 years,the 4 cases were all well recovered.Conclusions:The bile duct injury is most serious and common complication.A serious result can be avoided through an immediate and effective process after it happens.
Keywords:Cholecystectomy  laparoscopy  Complication  Bile duct injury
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